Method for producing Haemophilus influenzae type B antigens

ABSTRACT

The invention concerns a method for producing, on an industrial scale, capsular polysaccharide of Haemophilus influenzae type b (PRP) intended for vaccine purposes, according to which a strain of Haemophilus influenzae type b (Hib) is cultured in a culture medium, the culture supernatant is harvested and treated in order to extract the capsular polysaccharide therefrom, said culture medium comprising at least: —one source of carbon, —protoporphyrin, —salts, —amino acids, —NAD or NADH, —vitamins, —means for regulating the pH, characterized in that said culture medium is chemically defined.

This application is a continuation of U.S. patent application Ser. No. 14/411,241 filed on Dec. 24, 2014, which is a U.S. national phase application of International Patent Application no. PCT/FR2013/051549 filed on Jul. 2, 2013, which claims the benefit of French Patent Application no. FR 1256329 filed on Jul. 2, 2012, each of which is hereby incorporated by reference in its entirety into the present specification.

The present invention relates to a process for producing, on an industrial scale, capsular polysaccharides of Haemophilus influenzae type b (Hib), according to which a strain of Hib is cultured in a particular culture medium, the composition of which is chemically defined and which therefore comprises no complex source of nitrogen or of carbon. The prior art, and in particular application W2009/007641, describes improved culture media for Haemophilus influenzae type b, which do not comprise any element from an animal source, as is recommended when the purpose of the culture of Haemophilus influenzae type b is to produce capsular polysaccharide which will subsequently be introduced as an antigen into the composition of a vaccine. In the media described in this prior art, the source of nitrogen usually consisting of animal peptones is replaced with plant peptones.

Such media represent great progress in terms of the safety of pharmaceutical products with regard in particular to the elimination of the risk of transmission of diseases such as bovine spongiform encephalitis; they therefore make it possible to comply with Health Authority recommendations.

However, the composition of the peptones can vary according to the batches provided, which can lead to variations in the amounts of bacteria produced and also in the yields of antigens of interest, which vaccine producers try to limit or to correct by modifying certain parameters during the implementation of the process. However, in the context of the industrial production of a pharmaceutical product, it is desirable to be able to have available robust processes which require as few modifications as possible at each implementation, and the results of which at each step are reproducible from one batch to another.

Such processes must also allow yields that are compatible with industrial profitability, the criterion not being, in the case of production of antigens from bacteria, to obtain solely the largest possible amount of bacteria, but also to obtain the best ratio between the antigen titer and the amount of bacteria produced; it is therefore desirable for the bacterium to be cultured under conditions which direct its metabolism toward the production of capsular polysaccharide.

To this end, a subject of the present invention is a process for producing, on an industrial scale, capsular polysaccharide of Haemophilus influenzae type b (PRP) intended for vaccine purposes, according to which a strain of Haemophilus influenzae type b (Hib) is cultured in a culture medium, and the culture supernatant is harvested and treated in order to extract the capsular polysaccharide therefrom, said culture medium comprising at least:

-   -   one source of carbon,     -   protoporphyrin,     -   salts,     -   amino acids,     -   NAD or NADH,     -   vitamins,     -   pH-regulating means,         characterized in that said culture medium is chemically defined.

By virtue of the invention, it is possible both to have a robust industrial process and to increase the production of capsular polysaccharide, without having to increase the biomass accordingly, thereby making it possible to reduce the amount of lipopolysaccharides (LPSs) produced relative to the amount of PRP produced.

In addition, the absence of proteins in the composition of the culture medium reduces the required needs in terms of antifoam product and simplifies the purification step which makes it possible, from the culture supernatant, to obtain the antigen consisting of the capsular polysaccharide.

According to the invention, the culture medium comprises pH-regulating means. These pH-regulating means can consist of buffer salts and/or of pH-measuring means combined with means for adding either an acid or a base to the medium. The yields can be optimized through the regulation of the pH.

According to one embodiment, the process according to the invention also consists in conjugating the PRP produced to a carrier protein, such as the tetanus protein.

A subject of the invention is also a process for preparing a vaccine composition, according to which:

-   -   an antigen against Haemophilus influenzae type b (Hib),         consisting of the capsular polysaccharide (PRP), is prepared, on         an industrial scale, by culturing a strain of Hib in a         chemically defined medium of which the nature and the amount of         each of the constituents is perfectly defined and which         comprises at least:         -   one source of carbon,         -   protoporphyrin,         -   salts,         -   amino acids,         -   NAD or NADH,         -   vitamins,         -   and also pH-regulating means,     -   the culture supernatant is harvested and treated in order to         extract the purified capsular polysaccharide therefrom,     -   the capsular polysaccharide is conjugated to a carrier protein.

According to one embodiment, the conjugate obtained is also combined with at least one or more antigens intended for vaccination against one or more of the following infections: diphtheria, tetanus, polio, hepatitis B, chicken pox, mumps, rubella, infections caused by Neisseria meningitidis or Streptococcus pneunmoniae, infections caused by rotavirus, in order to obtain a vaccine combination which allows simultaneous immunization against several diseases.

According to the invention, the culture medium is chemically defined, i.e. the chemical structure and also the amount of each of the constituents are known. Such a medium is free of complex source of nitrogen or of carbon, such as peptones, caseins, sera or the like, and can therefore, if desired, be guaranteed to contain no element directly originating from an animal.

The invention relates to a process for producing, on an industrial scale, capsular polysaccharide of Haemophilus influenzae type b. Such a process makes it possible to obtain yields of biomass and of capsular polysaccharides or PRPs which are compatible with industrial constraints. Such a process makes it possible in particular to obtain, from a strain of Haemophilus influenzae type b which has in its genetic code at least 2 copies of the cap locus encoding the functions enabling capsular synthesis, without particular regulation of the medium (such as pH or pO₂), a biomass corresponding to an O.D. at 694 nm of at least 2.4, after 12 hours of culture, and an associated amount of PRP of at least 240 mg/liter of culture medium. The determination of the amount of PRP produced is measured by means of a high-performance anion exchange chromatography with pulsed amperometric detection (HPAEC-PAD) technique (Dionex), or a method which gives equivalent results. Advantageously, the process according to the invention makes it possible to obtain an amount of PRP of at least 270 mg/liter of medium, and even more advantageously an amount of at least 300 mg/liter.

Among the possible sources for the carbon, mention may be made of all those which can be metabolized by the strain of Haemophilus influenzae type b, and in particular: glucose, fructose, galactose, glycerol, xylose, ribose, fucose, sialic acid and lactate. It is also possible to use 2 or more different sources, in particular lactate and glucose. According to the invention, the amount of glucose present in the starting medium is between 5 and 25 g/l, more particularly from 10 to 20 g/l, and more particularly from 12 to 16 g/l.

The amount of lactate present in the starting medium may be between 0 and 15 g/l, and more particularly from 0.5 to 10 g/l.

According to one embodiment of the invention, the protoporphyrin of the medium is synthetic protoporphyrin, for example the one provided by the company Sigma-Aldrich under reference 258385 (Protoporphyrin disodium salt). Thus, it is possible to use a medium that can be guaranteed to be completely free of substance of animal origin. Alternatively, synthetic protoporphyrin IX is used, the formula of which is the following:

where R denotes H, or a counterion, preferably a counterion of an alkali metal, in particular sodium.

Such a protoporphyrin IX, and the method for preparing same, have been described in patent application FR 2 914 302.

According to the invention, the amount of protoporphyrin present in the starting medium is advantageously between 0.1 and 10 mg/l, and more particularly between 0.25 and 2 mg/l.

The culture medium according to the invention comprises salts which provide the minerals necessary for cell growth, which make it possible to ensure an osmotic pressure favorable to the bacteria, and which also exert a buffering capacity on the pH. Preferably, use is made of a mixture of monovalent cations such as Na⁺ and/or K⁺, of divalent cations such as Ca⁺⁺, Mg⁺⁺, Co⁺⁺, Zn⁺⁺, Mn⁺⁺, Fe⁺⁺, of phosphate anions in HPO₄ ⁻, H₂PO4⁻ and/or PO4⁻ form and of SO₄ ⁻ and Cl⁻ anions in the form of saline solutions, the moralities of each of which can usually vary within a concentration range of from 10⁻⁴ mM to 1000 mM.

The salts present in the culture medium are in particular chosen from:

K₂HPO₄; KH₂PO₄; MgSO₄.7H₂O; Na₂HPO₄.12H₂O; NaH₂PO₄.2H₂O; CaCl₂.2H₂O; FeSO₄.7H₂O; ZnSO₄.7H₂O; CoCl₂.6H₂O; MnSO₄.H₂O.

The salt concentrations are chosen in order to have an osmolarity of between 200 and 700 milliosmol/l, in particular between 300 and 400 milliosmol/l, especially 350 milliosmol/l, and a pH ranging from 6.5 to 7.5.

For this, the culture medium according to the invention can comprise in particular:

-   -   MgSO₄.7H₂O at a concentration of between 150 and 1500 mg/l,     -   CaCl₂.2H₂O at a concentration of between 6.5 and 52 mg/l,     -   FeSO₄.7H₂O at a concentration of between 1.25 and 10 mg/l,     -   ZnSO₄.7H₂O at a concentration of between 2.5 and 80 mg/l,     -   CoCl₂.6H₂O between 0.5 and 2 mg/l,     -   MnSO₄.H₂O between 2.5 and 10 mg/l,     -   sodium in the form in particular of sodium lactate at 60% in an         amount of between 0 and 4 ml/l,     -   K₂HPO₄ and KH₂PO₄ at a concentration of, for each of them,         between 100 and 1200 mg/liter when the buffer effect is provided         by Na₂HPO₄.12H₂O/NaH₂PO₄. 2H₂O,     -   Na₂HPO₄.12H₂O at a concentration of between 15 and 120 g/l,     -   NaH₂PO₄.2H₂O at a concentration from 10 to 30 times lower than         Na₂HPO₄.12H₂O.

Alternatively, it is possible for the buffer effect to be provided by the pair K₂HPO₄/KH₂PO₄; in this case, the K₂HPO₄ concentration is between 15 and 120 g/l, and the KH₂PO₄ concentration is from 10 to 30 times lower than that of K₂HPO₄; the concentration of Na₂HPO₄.12H₂O and of NaH₂PO₄. 2 H₂O can then be between 100 and 1200 mg/liter.

Among the salts mentioned, it has been possible to note that the presence of zinc is particularly advantageous for the production of biomass and of PRP, in particular in a concentration ranging from 2.5 to 80 mg/l, or more particularly from 5 to 20 mg/l. Very good results have been obtained at a concentration of 20 mg/l.

In the case where the pH of the culture medium is regulated during the culture phase, by the addition in particular of a highly concentrated base such as NaOH or KOH, it is possible to reduce the amount of salts present in the medium, and in particular the amount of the buffer pairs Na₂HPO₄/NaH₂PO₄, or K₂HPO₄/KH₂PO₄, provided, however, that the osmolarity is maintained at a suitable value, i.e. between 200 and 700 mOsm/l, through an optional addition of NaCl.

According to the invention, the culture medium also comprises NAD or a source of NAD, or of any other equivalent coenzyme. NAD (or β-nicotinamide adenine dinucleotide), also called coenzyme I or factor V, is a growth factor essential to the culture of Haemophilus influenzae type b. It is advantageously present at a concentration of between 0.5 and 50 mg/l, and more particularly between 2 and 10 mg/l, in particular 5 mg/l of culture medium. It can be introduced into the medium in its NADH reduced form. Alternatively to NAD, the culture medium according to the invention can comprise NAD precursor elements that the bacteria will be capable of using, such as NADP/NADPH (β-nicotinamide adenine dinucleotide phosphate) or NMN (β-nicotinamide adenine mononucleotide) or NR (nicotinamide riboside), 3-acetylpyridine adenine dinucleotide (APAD) or 3-acetylpyridine mononucleotide (APMN).

According to the invention, the culture medium contains amino acids which are advantageously chosen from: arginine, alanine, lysine, histidine, tryptophan, valine, isoleucine, leucine, tyrosine, phenylalanine, cystine (or an equivalent), asparagine, glutamine, aspartic acid and glutamic acid.

One formulation of the culture medium according to the invention comprises arginine, alanine, histidine, tryptophan, tyrosine, phenylalanine, cystine, aspartic acid and glutamic acid only. Alternatively, all of the amino acids mentioned are present in the culture medium.

According to one particular mode of the invention, the cystine is replaced with glutathione or cysteine.

According to one preferred embodiment, the process according to the invention uses a culture medium free of the following amino acids: L-methionine, L-glycine, L-proline, L-serine and L-threonine. This is because the presence of these amino acids resulted in an increase in the biomass, but not in a corresponding increase in PRP production. The amino acids are supplied in the form of very pure powders supplied by Sigma. Particularly advantageously, these amino acids have a synthetic origin or have been obtained by virtue of processes which guarantee the fact that they contain no element originating directly from an animal, in order to exclude any risk of contamination by transmissible infections, and in particular by BSE (Bovine Spongiform Encephalitis). The amounts of each amino acid are chosen in order to optimize cell growth and PRP production. The amounts of aspartic acid, of asparagine and of glutamine are chosen so as to cause a deficiency during the cell culture, thereby making it possible to direct the metabolism of the cell towards the production of capsular polysaccharide, while the amounts of the other amino acids are chosen such that there is no deficiency during the culture phase.

According to the invention, the culture medium also contains vitamins which are chosen from: thiamine, pantothenate, uracil, hypoxanthine, biotin, riboflavin and pyridoxine.

For the purposes of the invention, the term “vitamins” also encompasses uracil and hypoxanthine which are nitrogenous bases.

Particularly advantageously, the vitamins present in the culture medium according to the invention have a non-animal origin, in particular a synthetic origin, thereby making it possible to exclude any risk of contamination by transmissible infections, and in particular by BSE (Bovine Spongiform Encephalitis). Use is in particular made of vitamins supplied by Sigma, the degree of purity of which is accurately known, thereby enabling a very accurate dosage during the preparation of the culture medium.

The amounts of vitamins present in the medium are chosen in order to optimize the production of biomass and of PRP.

According to one particular mode of the invention, the culture medium comprises citrulline which can substitute for arginine and for uracil.

In this case, the amount of citrulline included in the culture medium is advantageously between 150 and 500 mg/l.

By virtue of the culture medium according to the invention, it has been possible to produce Polyribosyl Ribitol Phosphate in greater amount than when media according to the prior art are used, while at the same not consuming more carbohydrate, and not producing more contaminant, in particular LPS.

According to one embodiment of the invention, the strain of Haemophilus influenzae type b cultured is an encapsulated strain which has at least 2 copies of the cap locus in its genetic code. This cap locus, between 17 and 18 kb in size, groups together genes of which the expression is linked to the synthesis and the exportation of the capsule.

The expression of the capsule gives the bacteria a white color when it is cultured on specific agar; the colonies of bacteria which have this cap locus are consequently called “white colonies”, whereas the bacteria which do not export the capsular polysaccharide to the surface of the capsule are called “gray colonies”. The expression of the capsule is subject to potential genetic instability, which can lead to the appearance of capsule-deficient mutants, which would consequently lead to a decrease in PRP production. Studies have made it possible to demonstrate that the chemically defined medium used in the process according to the invention makes it possible to ensure good genetic stability of the strain used during about twenty cell generations.

According to the invention, it is possible to perform the culture of the Haemophilus influenzae type b bacterium in several successive steps so as to gradually increase the biomass.

In this case, the bacteria originating from a lyophilisate or from a frozen sample are inoculated into a volume of medium which generally does not exceed 1 liter. After culture overnight or when the optical density of the medium is sufficient, this first culture is transferred into a second culture medium identical to the first, but the volume of which may be up to 10 to 20 times greater. The amount of bacteria inoculated into the second medium is adjusted such that the initial optical density (O.D.) of the second culture medium at 694 nm is between 0.2 and 0.4 so as to promote rapid growth of the bacterial population. This second culture is usually performed in a fermentor, but other types of containers can be used (flasks, spinners, etc). When the culture is performed in a fermentor, a temperature of 37° C.+/−1° C., constant stirring, a pressure of 0.1 bar, a pO₂ of 30% and an air flow rate of 0.25 volume of gas per volume of medium per minute are normally used for the duration of the culture. It is within the competence of those skilled in the art to choose other parameters for this type of culture. At the end of the exponential bacterial growth phase, the biomass can be further amplified by transferring it into another fermentor of larger capacity using the same procedure and so on. The culture volumes obtained can reach, or even exceed, 1000 liters. The culture(s) is (are) generally performed according to the “batchwise” mode.

Finally, the supernatant of the final culture is taken after inactivation of the bacteria. The inactivation is conventionally carried out using a solution of formol at a final concentration of 0.35%-0.37% (V/V). The supernatant is conventionally separated from the bacteria by means of a centrifugation step. The PRP contained in the resulting supernatant is then extracted and purified according to conventional processes well known to those skilled in the art.

The PRP harvested and purified is then advantageously conjugated to a carrier protein such as the tetanus protein, in order to make it T-dependent and to enable in particular the immunization of young children. The PRP-T antigen thus obtained can then be used alone in a monovalent vaccine, or be combined with other antigens in order to enable simultaneous vaccination against several diseases.

Particularly advantageously, the present invention provides a process for preparing a vaccine composition, according to which the conjugate obtained is combined with at least one or more antigens usually present in pediatric vaccines, and in particular antigens against diphtheria, tetanus, poliomyelitis, hepatitis B, infections caused by Neisseria meningitidis or par Streptococcus pneumoniae, chicken pox, mumps, rubella, infections caused by a rotavirus, etc.

According to one embodiment, the PRP-T conjugate is present in powder form, whereas the other antigens are in liquid form, all of the antigens being mixed extemporaneously before administration; according to one alternative embodiment, the vaccine composition is entirely liquid.

The preparation process according to the invention thus makes it possible to prepare a quadrivalent vaccine combination comprising, in addition to the PRP-T conjugate, diphtheria, tetanus and hepatitis B antigens. Alternatively, it makes it possible to prepare a quadrivalent vaccine combination comprising, in addition to the PRP-T conjugate, diphtheria toxoid, tetanus toxoid, and 2 acellular Bordetella pertussis antigens (toxoid and filamentous hemagglutinin) or 3 acellular Bordetella pertussis antigens (the previous two+pertactin) or else 5 acellular Bordetella pertussis antigens (the previous three+the agglutinogens).

It also makes it possible to prepare a pentavalent vaccine combination comprising, in addition to the PRP-T conjugate, diphtheria toxoid, tetanus toxoid, 2, 3 or 5 acellular Bordetella pertussis antigens and also inactivated type 1, 2 and 3 polioviruses.

It also makes it possible to prepare a hexavalent vaccine combination comprising, in addition to the PRP-T conjugate, diphtheria toxoid, tetanus toxoid, 2, 3 or 5 acellular Bordetella pertussis antigens, hepatitis B and also inactivated type 1, 2 and 3 polioviruses. Such a hexavalent combination can in particular be liquid and can comprise, per 0.5 ml dose:

-   -   diphtheria toxoid in amount of 20 IU,     -   tetanus toxoid in amount of 40 IU,     -   the hepatitis B surface antigen in a proportion of 10 μg,     -   pertussis toxoid in a proportion of 25 μg,     -   pertussis filamentous hemagglutinin in a proportion of 25 μg,     -   PRP-T in a proportion of 12 μg of PRP,     -   inactivated type 1, 2 and 3 polioviruses in a respective amount         of 40, 8 and 32 DU,     -   aluminum hydroxide in a proportion of 0.6 mg of Al³⁺.

Alternatively, it makes it possible to prepare vaccine combinations in which the whooping cough antigens consist of the whole Bordetella pertussis bacterium.

By virtue of the culture process according to the invention, it is possible to increase the production of Polyribosyl Ribitol Phosphate, without increasing the amount of biomass, thereby making it possible to reduce the amount of contaminating LPSs; this advantage of the process according to the invention is very important to the vaccine industry, where these products are introduced into vaccine compositions as antigens and where the amounts of LPSs must be reduced to a minimum. Having available a process which makes it possible not to increase the amount of LPS produced for a greater amount of PRP offers the possibility of simplifying the subsequent purification process.

EXAMPLE 1: PREPARATION OF A CULTURE MEDIUM ACCORDING TO THE INVENTION

A culture medium according to the invention was prepared from a basic medium to which enrichment solutions were added extemporaneously.

The composition of the basic medium is indicated in table I below:

TABLE I Amounts in mg Compounds for 1 l supplier product ref. 60% sodium lactate 1.5 ml Prolabo  27925.297 K₂HPO₄ 300 VWR Prolabo  26931.263 KH₂PO₄ 300 VWR Prolabo  26923.298 MgSO₄•7H₂O 368 VWR Prolabo  25165.260 Na₂HPO₄•12H₂O 28620 VWR Prolabo  28028.298 NaH₂PO₄•2H₂O 1870 VWR Prolabo  28015.294 L-Arginine 87 Sigma A5006 or A8094 L-Alanine 134 Sigma A7627 or A7469 or A4349 L-Asparagine 198 Sigma A0884 or A7094 L-Lysine 140 Sigma L5626 or L8662 or L7039 L-Glutamine 220 Sigma G3126 or G8540 or G5792 L-Histidine 78 Sigma H8000 or H6034 or H3911 L-Tryptophan 200 Sigma T0254 or T8941 or T4196 L-Valine 115 Sigma V0500 or V0513 or V4638 L-Isoleucine 130 Sigma I2752 or I7403 or I5281 L-Leucine 130 Sigma L8000 or L6914 or L8912 L-Tyrosine 180 Sigma T3754 or T8566 or T4321 L-Phenylalanine 165 Sigma P5482 L-Cystine 61 Sigma C8755 or C7602 or C5735 L-aspartic acid 1065 Sigma A9256 or A5474 G1251 or L-glutamic acid 1471 Sigma G8415 Pyridoxine HCl 4 Sigma P5669 Riboflavin 0.2 Sigma R4500 Thiamine HCl 4 Sigma T4625 Biotin 4 Sigma B4501 Ca Pantothenate 4.5 Sigma P5710 Uracil 70 Sigma U0750 Hypoxanthine 20 Sigma H9377 FeSO₄•7H₂O 2.5 Aldrich 450278 ZnSO₄•7H₂O 5 Sigma Z4750 CoCl₂•6H₂O 1 Fluka  60818 MnSO₄•H₂O 5 Sigma M7634 CaCl₂•2H₂O 13 Panreac 131232.1211

To prepare 1 liter of medium, the various compounds were added, in the order described in the table above, to approximately 100 ml of demineralized water, with stirring using a magnetic bar. Before addition, all the powders had been previously dissolved in a small volume of demineralized water with, in certain cases, the addition of acid or of base. Thus, for the valine, isoleucine and leucine, it was necessary to add, to the amounts indicated in the table, 140 μl of 10 N KOH; to the tyrosine, it was necessary to add 280 μl of 10 N KOH; to the phenylalanine, it was necessary to add 210 μl of 37% HCl, and to the cystine, it was necessary to add 70 μl of 37% HCl.

Finally, the pH was adjusted to 7.2±0.1 with 10 N KOH (in the event of the pH having been too high, 37% HCl would have been used), then demineralized water was used to make the volume up to the desired amount.

The medium was then sterilized by means of filtration on a filter having a cut-off threshold at 0.22 μm.

It was thus possible to store the medium for 72 hours at 5° C.

Before the inoculation of the medium, the following were added:

-   -   27.3 ml of glucose at 512.8 g/l prepared from anhydrous D(+)         glucose supplied by the company VWR under the reference         24379.294,     -   5 ml of a solution of NAD at 1 g/l, supplied by the company         Sigma under the name β-Nicotinamide Adenine Dinucleotide hydrate         (ref. 43410),     -   4 ml of a stock solution comprising protoporphyrin at the         concentration of 0.25 g/l and ammonium hydroxide at the         concentration of 5 ml/l; the protoporphyrin being supplied by         the company Sigma Aldrich under the name Protoporphyrin IX         disodium salt (ref. 258385) and the ammonium hydroxide by the         company VWR under the name Ammonia solution 28% (ref.         21190.292),         in order to obtain 1 liter of medium ready to be inoculated, and         comprising, in addition to the elements described in table I         above, the following additional elements with the concentrations         as indicated in table II below:

TABLE II Concentration before Compounds inoculation in the medium Protoporphyrin 1 mg/l Aqueous ammonia 17.7 μg/l Anhydrous glucose 14 g/l NAD 5 mg/l

EXAMPLE 2: PREPARATION OF A CULTURE MEDIUM ACCORDING TO THE PRIOR ART

A culture medium according to the prior art was prepared by adding specific enrichment solutions to a basic medium.

The composition of the basic medium is indicated in table Ill below:

TABLE III Concentration in Compounds the basic medium Pea peptone 7.42 g/l 60% Sodium Lactate 1.5 ml/l Na₂HPO₄•12H₂O 31.14 g/l NaH₂PO₄•2H₂O 2.03 g/l Cystine (L) 0.07 g/l HCl (10N) 0.07 ml/l Tryptophan (L) 0.02 g/l (NH₄)₂SO₄ 1 g/l MgSO₄•7H₂O 0.4 g/l CaCl₂•2H₂O 0.02 g/l

To prepare this basic medium, each of the elements was added, in the order in which they are indicated in the table, to 100 ml of demineralized water continuously stirred using a magnetic bar. Each of the elements, supplied in powder form, had previously been dissolved in a small volume of demineralized water.

The pea peptone comes from the company Kerry and is sold under the reference Hy-pea 7404. The (NH₄)₂SO₄ is supplied by the company VWR under the reference 21333.296. The other elements come from the same suppliers and are supplied under the same references as those described in example 1 for the preparation of the medium according to the invention.

The final pH was adjusted to 7.2±0.1 with 10 N KOH (in the event of the pH having been too high, 37% HCl would have been used).

Demineralized water was then added in order to obtain the desired volume, and then it was sterilized by autoclaving, according to a cycle of 30 minutes at 120° C.

Once sterilized, the medium could be stored for 15 days at 4° C.

The enrichment solutions A, B, C and D were added to this basic medium.

The solution A is a solution comprising anhydrous glucose at the concentration of 512.8 g/l, supplied by the company VWR under the name anhydrous D(+) glucose (ref. 24379.294).

The solution B is a stock solution comprising NAD at the concentration of 1 g/l, supplied by the company Sigma under the name β-Nicotinamide Adenine Dinucleotide hydrate (ref. 43410).

The solution C is a stock solution comprising protoporphyrin at the concentration of 0.25 g/l and ammonium hydroxide at the concentration of 5 ml/l; the protoporphyrin being supplied by the company Sigma Aldrich under the name Protoporphyrin IX disodium salt (ref. 258385) and the ammonium hydroxide by the company VWR under the name Ammonia solution 28% (ref. 21190.292).

The solution D is a concentrated solution comprising autolytic yeast extract ultrafiltrate (Ufel) at 125 g/l; it is supplied by the company Biospringer under the name Ultrafiltrat d'extrait autolytique de levure (Ufel) [Autolytic yeast extract ultrafiltrate] (Ref. springer 0701).

Each of these solutions is sterilized by filtration on a filter of which the cut-off threshold is 0.22 μm.

The following were added to 1 liter of basic medium:

-   -   35.1 ml of solution A     -   ml of solution B     -   4 ml of solution C     -   40 ml of solution D.

The addition of each of the solutions to the basic medium was carried out under a laminar flow hood and resulted in a culture medium having, before inoculation, in addition to the elements mentioned in table III above, the following additional elements in the concentration indicated in table IV below:

TABLE IV Concentration before Compounds inoculation in the medium Autolytic yeast extract ultrafiltrate (Ufel) 4.9 g/l Protoporphyrin 1 mg/l Aqueous ammonia 17.7 μg/l Anhydrous glucose 18 g/l NAD 5 mg/l

EXAMPLE 3: COMPARISON OF PRP PRODUCTION WITH A MEDIUM ACCORDING TO THE INVENTION AS DESCRIBED IN EXAMPLE 1 AND A MEDIUM OF THE PRIOR ART AS DESCRIBED IN EXAMPLE 2

These comparative experiments were carried out according to a 2-step culture protocol:

-   -   a step of preculture in a non-baffled 1-liter glass Erlenmeyer         flask, at 36° C. with stirring at 130 rpm (revolutions per         minute), for a period of 8 hours, at the end of which the strain         is at the end of the linear growth phase; this preculture is         initiated by inoculating 280 ml of culture medium with an         inoculum of bacteria of Haemophilus influenzae type b containing         at least 2 copies of the cap locus, at a concentration of 0.5%         (volume/volume);     -   then a transfer of 90 ml of the preculture made it possible to         inoculate a 2-liter Biostat B plus fermentor containing 1.8         liters of culture medium. This fermentor was maintained at 37°         C., with stirring at 400 rpm, with an aeration of 0.45 lpm         (liter per minute) for 12 hours.

After 12 hours of culture, the O.D. at 694 nm was measured, which made it possible to determine the biomass. This is because, during previous tests, it was possible to determine that one unit of optical density measured at 694 nm corresponded to 0.64 g of biomass (dry mass)/liter.

The amount of total PRP in the culture supernatant was determined by high-performance anion exchange chromatography with pulsed amperometric detection (HPAEC-PAD), according to a method very similar to that described in the publication by Sturgess et al. (Vaccine 17 (1999) 1169-1178). The culture supernatant was filtered by passing it through a 0.22 μm filter, and then 500 μl of supernatant were ultrafiltered via the use of Amicon ultra columns with a cut-off threshold of 10 kDa (Millipore ref. UFC5010BK) and then subjected to a basic hydrolysis step by adding NaOH. The hydrolysis was carried out at ambient temperature for a minimum of 4 hours. The validity of the assay was controlled by using an internal standard, glucosamine-1-phosphate (GlcN1P), present in the hydrolysis solution, and by regularly passing through an internal control having a known PRP concentration. With respect to the indications of Sturgess et al, the mobile phase was composed of 35 mM NaOH and 114 mM CH₃COONa and the regeneration phase was carried out for 10 minutes with 100 mM NaOH and 400 mM CH₃COONa.

The results obtained are indicated in table V below:

TABLE V Medium Medium according to of the the invention prior art (4 tests) (1 test) O.D. at 694 nm 2.52 ± 0.14 3.9 Biomass in g of dry mass/liter 1.74 ± 0.09 2.6 of culture medium PRP concentration in mg/liter 349 ± 22  169 of culture medium Specific production in mg of 199 ± 3  66 PRP/g of biomass

These results show the advantage of the process according to the invention for the PRP productivity: it is in fact noted that, for the same volume of culture medium, while the biomass obtained was greater with a culture medium according to the prior art, the amount of PRP was, on the other hand, smaller.

EXAMPLE 4: COMPARISON OF THE AMOUNT OF PRP AND OF LPS PRESENT IN A CULTURE SUPERNATANT ACCORDING TO THE PROCESS OF THE INVENTION, AND IN A CULTURE SUPERNATANT ACCORDING TO A PROCESS OF THE PRIOR ART

The culturing of Haemophilus influenzae type b was carried out comparatively with a medium according to the invention and with a medium according to the prior art, in the manner described in example 3, with however the difference that the basic medium of the process according to the prior art comprised 10 g/l of casein acid hydrolysate supplied by the company Solabia (ref. A1434) in place of the pea peptone present in the medium according to example 3.

The preculture time is, as in example 3, 8 hours, and the culture time is 12 hours.

The assaying of PRP and the assaying of LPS are both carried out by HPAEC-PAD; but the assaying of LPS is carried out by quantification of a particular monosaccharide, heptose, using a standard range of purified LPS having undergone the same protocol, the internal control for this assay being rhamnose.

The results obtained are indicated in table V1 below:

TABLE VI Medium Medium according to according to the invention the prior art (4 tests) (3 tests) OD at 694 nm 2.5 ± 0.1 3.9 ± 0.3 Biomass in g of dry mass/l 1.7 ± 0.1 2.5 ± 0.2 of medium LPS concentration in mg/l 5 ± 1 4.6 ± 1   of medium PRP concentration in mg/l 349 ± 22  17 ± 5  of medium PRP/LPS ratio 74 ± 15 38 ± 6 

The results obtained show the advantage of the process according to the invention, which makes it possible to reduce the amount of LPSs produced relative to the amount of PRP.

This represents a significant advantage of the process according to the invention, since this very much simplifies the purification operations, while at the same time maintaining an appropriate safety level.

EXAMPLE 5: TEST FOR EVALUATING THE IMPORTANCE OF ZINC

The importance of the presence of zinc in the culture medium was studied.

To this effect, 3 media were compared:

-   -   a medium such as that described in example 1, called MS,     -   a medium which has a composition identical to that of example 1,         but without the ZnSO₄, called MS Zn−,     -   a medium such as that described in example 1, but with a ZnSO₄         concentration which is 4 times higher, i.e. 20 mg/l, said medium         being called MS Zn++.

The media were then sterilized by means of filtration on a filter having a cut-off threshold at 0.22 μm.

A step of preculture in a non-baffled 1-liter glass Erlenmeyer flask was first of all performed, for 16 hours at 36° C. with stirring at 130 rpm, by inoculating 280 ml of a medium as described in example 4 with a frozen sample of Haemophilus influenzae type b bacteria having in the genetic code thereof at least 2 copies of the cap locus. 9.5 ml of preculture were then washed in each of the culture media to be tested, before the inoculation for the culture which was performed each time in a baffled 500 ml polycarbonate Erlenmeyer flask containing 170 ml of the culture medium to be tested; the culture was performed for 12 hours at 37° C. and stirring was performed at 150 rpm.

For each medium, the biomass, the PRP concentration and also the amount of LPS at the end of culture were determined, in the same way as described in examples 3 and 4, and the PRP/biomass and also LPS/biomass and PRP/LPS ratios were calculated. The results obtained are indicated in table VII below:

TABLE VII MS MS Zn− MS Zn++ Biomass in g of dry mass/liter of 1.98 1.23 2.22 culture medium PRP concentration in mg/liter of 319 203 372 culture medium Specific production in mg of PRP/g 160 165 167 of biomass LPS concentration in mg/liter of 11.5 8.8 12.1 culture medium LPS/biomass ratio in mg/g of biomass 6.1 7.2 5.5 PRP/LPS ratio in mg/mg 30 23 31

These results showed that the presence of zinc in the culture medium makes it possible to significantly increase the production of biomass and also the production of PRP, without, however, proportionally increasing the amount of LPS

EXAMPLE 6: TESTS IN A 5-LITER FERMENTOR

The culturing of Haemophilus influenzae type b was carried out in the culture medium described according to the invention in example 1, using only products guaranteed by the suppliers to be animal-free and using synthetic protoporphyrin as described in patent application FR 2 914 302, and supplied by the company Solvias AG under the name: Protoporphyrin IX Disodium Salt (Ref. SOL20402). The tests were then carried out in the manner described in example 3, with the exception that the fermentors used were 5-liter fermentors regulated at 37° C., with stirring at 550 rpm and aeration at 0.5 lpm. The inoculum volume was then 280 ml, i.e. the entire preculture Erlenmeyer flask.

The PRP and LPS concentration was determined according to the protocols described in examples 3 and 4.

The results obtained are indicated in table VIII below:

TABLE VIII Animal-free medium according to the invention O.D. at 694 nm 3.58 Biomass in g of dry mass/l of medium 2.29 PRP concentration in mg/l of medium 567 Specific production in mg of PRP/g 247 of biomass

These results confirm the previous results, and show the advantage of the process according to the invention for obtaining a large amount of PRP.

EXAMPLE 7: COMPARISON OF THE PRODUCTION OF BIOMASS AND OF PRP WITH A MEDIUM ACCORDING TO THE INVENTION AS DESCRIBED IN EXAMPLE 1 AND WITH CHEMICALLY DEFINED MEDIA DESCRIBED IN THE PRIOR ART

The culturing of Haemophilus influenzae type b was carried out in the culture medium described according to the invention in example 1 and also in 8 media described in publications in connection with the culture of Haemophilus influenzae, and presented as being chemically defined.

These 8 media were prepared according to the recommendations of the authors. They are, in chronological order, the media of:

-   -   Talmadge and Herriott: Biochemical and Biophysical Research         Communications, (March 1960), Vol. 2 N^(o)3, p 203-206),     -   Butler: J. gen. Microbiol. (1962), 27, 51-60,     -   Wolin: J. Bacteriol. Vol. 85, (1963) Notes, p 253-254.     -   Herriott et al.: Journal of Bacteriology, (February 1970), Vol.         101, N^(o)2, 513-516,     -   Klein and Luginbuhl: Journal of General Microbiology (1979),         113, 409-411     -   Coleman et al.: Journal of Clinical Microbiology, (September         2003), Vol. 41, N^(o)9 p. 4408-4410.

The references of the products used to prepare these 8 media are reproduced in table IX below:

TABLE IX Products Suppliers product ref. Uridine Sigma U3003 Inosine Sigma I4125 Adenosine Sigma A4036 Guanine Sigma G6779 Guanosine Sigma G6264 Vitamine B12 Sigma V2876 Citrulline Sigma C7629 Choline chloride Fluke 26978 Thimidine Sigma T9250 Inositol Sigma I5125 Putrescine dihydrochloride Sigma P5780 Nicotinamide Sigma N0636 Porcine hematin Sigma H3281 Hemin Fluke 51280 Sodium oleate Sigma O7501 Sodium acetate Fluke 71185 Folic acid Sigma F7876 Polyvinyl alcohol Sigma 341584 Triethanolamine Sigma 90278 Glycylglycine buffer Libios B-GLYGLY250 Tween 40 Sigma P1504 Tween 80 Sigma P1754 Tris buffer VWR 33621.260 ethylenediaminetetraacetate VWR 20302.180 HEPES Sigma H3375 Glutathione Sigma G6013 Adenine Sigma A8626 Proline Sigma P0380 Threonine Sigma T8625 Glycine Sigma G7126 Methionine Sigma M9625 Serine Sigma S4500 Glycerol VWR 24387.292 K₂SO₄ VWR 26994.293 KCl VWR 26764.298 MgCl₂•6H₂O Panreac 131396.1211 NaCl VWR 27810.295 NaHCO₃ VWR 27778.260 NH₄Cl VWR 21236.291 RPMI 1640 with Invitrogen former ref. cited in L-glutamine and the publication by 25 mM HEPES Coleman (2003) ref. 61870036 => new ref. 52400025 Sodium pyruvate Invitrogen former ref. cited in MEM 100 mM the publication by Coleman (2003) ref. 11360070 => new ref. 11360039

The media were then sterilized by means of filtration on a filter having a cut-off threshold at 0.22 μm.

A step of preculture in a non-baffled 1-liter glass Erlenmeyer flask was first of all carried out, for 16 hours at 36° C. with stirring at 130 rpm, by inoculating 280 ml of a medium as described in example 4 with a frozen sample of Haemophilus influenzae type b bacteria having in the genetic code thereof at least 2 copies of the cap locus. 9.5 ml of preculture were then washed in each of the culture media to be tested, before the inoculation for the culture which was performed each time in a baffled 500 ml polycarbonate Erlenmeyer flask containing 170 ml of the culture medium to be tested; the culture was performed for 12 hours at 37° C. and stirring at 150 rpm. Each test was carried out at least 3 times.

For each medium, each hour, the O.D. at 694 nm was measured and the PRP concentration was determined at the end of culture, in the same way as described in example 3.

The O.D. results are reproduced in FIG. 1.

The results of the PRP determinations are indicated in table X below:

TABLE X O.D. at PRP at 12 h 694 nm (mg/l) Medium according to the invention 2.86 ± 0.12 320 ± 15  Talmadge 0.28 ± 0.10 20 ± 1  Butler 0.04 ± 0.00 2 ± 0 Wolin 0.04 ± 0.00 6 ± 0 Herriot Mic-cit 1.26 ± 0.15 138 ± 7  Herriot Mic 0.98 ± 0.13 101 ± 5  Klein MMA (cit) 0.38 ± 0.01 40 ± 2  Klein MMB 0.20 ± 0.03 27 ± 1  Coleman 1.43 ± 0.04 204 ± 10 

EXAMPLE 8: INDUSTRIAL-SCALE PRP PRODUCTION (1000 LITERS)

A culture medium according to the invention having the composition of example 1, except for the zinc, where the concentration is 20 mg/l instead of 5 mg/l, was prepared. This is because example 5 showed that this concentration made it possible to produce more PRP without increasing the amount of LPS.

The medium was identical for the precultures and the final culture, except the pH (initial pH 7.2±0.1, then free pH for the precultures and pH regulated at 6.7±0.1 for the production culture).

The medium was prepared as in example 1. After having mixed the compounds previously dissolved in a small volume of purified water, with, in certain cases, the addition of acid or of base (cf. example 1), and before adding the sufficient quantity of purified water, the pH was adjusted to 7.2±0.1 for the precultures and 6.7±0.1 for the final culture (with 10 N potassium hydroxide or sodium hydroxide or 37% HCl).

The medium was then sterilized by means of filtration on a filter having a cut-off threshold at 0.22 μm.

It was thus possible to store the medium for 72 hours at 5° C.

Before the inoculation of the medium, the following were added:

-   -   glucose at 512.8 g/l prepared from anhydrous D(+) glucose         supplied by the company VWR under the reference 24379.294,     -   a solution of NAD at 1 g/l, supplied by the company Sigma under         the name β-Nicotinamide Adenine Dinucleotide hydrate (ref.         43410),     -   a stock solution comprising protoporphyrin at the concentration         of 0.25 g/l and ammonium hydroxide at the concentration of 5         ml/l; the protoporphyrin being supplied by the company Solvias         AG under the name Protoporphyrin IX disodium salt (ref.         SOL20402) and the ammonium hydroxide by the company VWR under         the name Ammonia solution 28% (ref. 21190.292),         in order to obtain a medium ready to be inoculated, and         comprising, in addition to the elements described in table I of         example 1, the additional elements with the concentrations as         indicated in table II of example 1 (except the glucose at a         final concentration of 14.87 g/l instead of 14 g/).

The 1000-liter scale process comprised a series of 3 precultures:

-   -   the first precultures were performed in a non-baffled 1-liter         Erlenmeyer flask containing 290 ml of complete culture medium,         at 37° C. with stirring at 130 rpm (revolutions per minute), for         a period of 17-18 hours. These precultures were initiated by         inoculating the culture medium with an inoculum of Haemophilus         influenzae type b bacteria containing at least 2 copies of the         cap locus, with an inoculation level corresponding to an initial         target OD_(694 nm) of 0.014;     -   the second preculture series was performed in a 6.8-liter         fermentor. Two fermentors containing 5.2 liters of complete         culture medium were each inoculated with 260 ml of a preculture         of series 1. These fermentors were maintained for 4 hours at 37°         C.±1, with an initial pH at 7.2±0.2, a pO₂ maintained at 30%         with a cascade involving an increase in the stirring (500 to 800         rpm), then an increase in the aeration (0.5 to 2.5 lpm) and then         a flow rate of pure O₂ between 0 and 6 lpm;     -   the third preculture series was performed in a 120-liter         fermentor containing 57 liters of complete medium which was         inoculated with 5.8 liters of the preculture originating from         series 2. This fermentor was maintained for 3 hours 10 at 37°         C.±1, with an initial pH of 7.2±0.2, a pO₂ maintained at 30%         with a cascade involving an increase in the stirring (300 to 425         rpm), then an increase in the aeration (6 to 28 lpm) and then a         flow rate of pure O₂ between 0 and 50 lpm.

The industrial culture was performed in a 1000-liter fermentor containing 778 liters of complete medium which was inoculated with 39 liters of a preculture of series 3. This fermentor was maintained at 32° C.±1, with a pH regulated at 6.7±0.2 (with a 2.5 N sodium hydroxide solution), a pO₂ maintained at 70% by virtue of a cascade involving an increase in the stirring (100 to 230 rpm), then an increase in the aeration (70 to 150 lpm) and then a flow rate of pure O₂ between 0 and 500 lpm. Moreover, antifoam (Biospumex at 4%) was added on demand depending on the foam level.

After 12 hours of culture, the O.D. at 694 nm was measured, which made it possible to determine the biomass (according to the correspondence of one OD unit corresponding to 0.64 g of dry biomass). The PRP and LPS concentration was determined according to the protocols described in examples 3 and 4.

The results obtained are indicated in table XI below:

TABLE XI Medium according to the invention (1 test) O.D. at 694 nm 3.45 Biomass in g of dry mass/liter of 2.21 culture medium PRP concentration in mg/liter of 865 culture medium Specific production in mg of PRP/g 392 of biomass LPS concentration in mg/liter of 35.6 culture medium LPS/biomass ratio in mg/g of biomass 16.1 PRP/UPS ratio in mg/mg 24.3

These results showed the advantage of the process according to the invention for the PRP productivity and the PRP/LPS ratio, said results having been demonstrated on an industrial scale. 

The invention claimed is:
 1. A process for producing, on an industrial scale, capsular polysaccharide of Haemophilus influenzae type b (PRP) suitable for use in a vaccine, the process comprising culturing a strain of Haemophilus influenzae type b (Hib) in a Hib culture medium, and harvesting and treating supernatant from the culture medium to extract the capsular polysaccharide therefrom, wherein the Hib culture medium is chemically defined and comprises 10⁻⁴ mM to 1000 mM zinc.
 2. A process for producing, on an industrial scale, capsular polysaccharide of Haemophilus influenzae type b (PRP) suitable for use in a vaccine, the process comprising culturing a strain of Haemophilus influenzae type b (Hib) in a Hib culture medium, and harvesting and treating supernatant from the culture medium to extract the capsular polysaccharide therefrom, wherein the improvement comprises employing a zinc-containing, chemically-defined Hib culture medium, wherein the zinc is present in an amount of 10⁻⁴ mM to 1000 mM.
 3. The process according to claim 2, wherein the culture medium comprises, a source of carbon, a protoporphyrin, salts, amino acids, NAD or NADH, vitamins, and pH-regulating means.
 4. The process as claimed in claim 3, wherein said pH-regulating means consists of buffer salts.
 5. The process as claimed in claim 3, wherein said source of carbon is glucose, fructose, galactose, glycerol, xylose, ribose, fucose, sialic acid, lactate, or a combination thereof.
 6. The process as claimed in claim 3, wherein said protoporphyrin is synthetic protoporphyrin IX.
 7. The process as claimed in claim 3, wherein said salts are chosen from potassium, magnesium, sodium, calcium, iron, zinc, cobalt and manganese salts.
 8. The process as claimed in claim 3, wherein the composition comprises: arginine or citrulline, alanine, histidine, tryptophan, tyrosine, phenylalanine, at least one of cystine, cysteine, or glutathione, and at least one of asparagine, glutamine, aspartic acid, or glutamic acid.
 9. The process as claimed in claim 3, wherein said vitamins are chosen from: thiamine, pantothenate, uracil, hypoxanthine, biotin, riboflavin and pyridoxine.
 10. The process as claimed in claim 2, further comprising conjugating the capsular polysaccharide obtained to a carrier protein.
 11. The process as claimed in claim 3, further comprising conjugating the capsular polysaccharide obtained to a carrier protein.
 12. The process as claimed in claim 10, wherein the carrier protein is tetanus toxoid.
 13. The process as claimed in claim 11, wherein the carrier protein is tetanus toxoid.
 14. A process for preparing a vaccine composition, the process comprising conjugating a capsular polysaccharide to a carrier protein, wherein the capsular polysaccharide is a Haemophilus influenzae type b (Hib) capsular polysaccharide, the improvement comprising preparing the capsular polysaccharide according to the method of claim
 2. 15. A process for preparing a vaccine composition, the process comprising conjugating a capsular polysaccharide to a carrier protein, wherein the capsular polysaccharide is a Haemophilus influenzae type b (Hib) capsular polysaccharide, the improvement comprising preparing the capsular polysaccharide according to the method of claim
 3. 16. A process for preparing a vaccine composition, the process comprising a) conjugating a capsular polysaccharide to a carrier protein, b) combining the conjugate obtained in a) with at least one or more antigens suitable for use in a paediatric vaccine, wherein the capsular polysaccharide is a Haemophilus influenzae type b (Hib) capsular polysaccharide, the improvement comprising preparing the capsular polysaccharide according to the method of claim
 2. 17. A process for preparing a vaccine composition, the process comprising a) conjugating a capsular polysaccharide to a carrier protein, b) combining the conjugate obtained in a) with at least one or more antigens suitable for use in a paediatric vaccine, wherein the capsular polysaccharide is a Haemophilus influenzae type b (Hib) capsular polysaccharide, the improvement comprising preparing the capsular polysaccharide according to the method of claim
 3. 18. The process for preparing a vaccine composition as claimed in claim 16, wherein the conjugate obtained in a) is combined with diphtheria, tetanus and hepatitis B antigens.
 19. The process for preparing a vaccine composition as claimed in claim 16, wherein the conjugate obtained in a) is combined with diphtheria toxoid, tetanus toxoid, and acellular Bordetella pertussis antigens toxoid and filamentous hemagglutinin.
 20. The process for preparing a vaccine composition as claimed in claim 16, wherein the conjugate obtained in a) is combined with diphtheria toxoid, tetanus toxoid, and acellular Bordetella pertussis antigens toxoid, pertactin and filamentous hemagglutinin.
 21. The process for preparing a vaccine composition as claimed in claim 16, wherein the conjugate obtained in a) is combined with diphtheria toxoid, tetanus toxoid, and acellular Bordetella pertussis antigens toxoid, pertactin, agglutinogens and filamentous hemagglutinin.
 22. The process for preparing a vaccine composition as claimed in claim 16, wherein the conjugate obtained in a) is combined with diphtheria toxoid, tetanus toxoid, 2, 3 or 5 acellular Bordetella pertussis antigens and also inactivated type 1, 2 and 3 polioviruses.
 23. The process for preparing a vaccine composition as claimed in claim 16, wherein the conjugate obtained in a) is combined with diphtheria toxoid, tetanus toxoid, hepatitis B, 2, 3 or 5 acellular Bordetella pertussis antigens and also inactivated type 1, 2 and 3 polioviruses.
 24. The process for preparing a vaccine composition as claimed in claim 16, wherein the conjugate obtained in a) is combined with the whole Bordetella pertussis bacterium.
 25. The process according to claim 16 wherein the one or more antigens of step b) are selected from antigens suitable for use in vaccination against diphtheria, tetanus, polio, hepatitis B, chicken pox, mumps, rubella, infections caused by Neisseria meningitidis or Streptococcus pneumoniae, or infections caused by rotavirus.
 26. The process according to claim 16, wherein the conjugate obtained in a) is combined with at least one or more antigens against diphtheria, tetanus, poliomyelitis, hepatitis B, infections caused by Neisseria meningitidis or by Streptococcus pneumoniae.
 27. The process for preparing a vaccine composition as claimed in claim 17, wherein the conjugate obtained in a) is combined with diphtheria, tetanus and hepatitis B antigens.
 28. The process for preparing a vaccine composition as claimed in claim 17, wherein the conjugate obtained in a) is combined with diphtheria toxoid, tetanus toxoid, and acellular Bordetella pertussis antigens toxoid and filamentous hemagglutinin.
 29. The process for preparing a vaccine composition as claimed in claim 17, wherein the conjugate obtained in a) is combined with diphtheria toxoid, tetanus toxoid, and acellular Bordetella pertussis antigens toxoid, pertactin and filamentous hemagglutinin.
 30. The process for preparing a vaccine composition as claimed in claim 17, wherein the conjugate obtained in a) is combined with diphtheria toxoid, tetanus toxoid, and acellular Bordetella pertussis antigens toxoid, pertactin, agglutinogens and filamentous hemagglutinin.
 31. The process for preparing a vaccine composition as claimed in claim 17, wherein the conjugate obtained in a) is combined with diphtheria toxoid, tetanus toxoid, 2, 3 or 5 acellular Bordetella pertussis antigens and also inactivated type 1, 2 and 3 polioviruses.
 32. The process for preparing a vaccine composition as claimed in claim 17, wherein the conjugate obtained in a) is combined with diphtheria toxoid, tetanus toxoid, hepatitis B, 2, 3 or 5 acellular Bordetella pertussis antigens and also inactivated type 1, 2 and 3 polioviruses.
 33. The process for preparing a vaccine composition as claimed in claim 17, wherein the conjugate obtained in a) is combined with the whole Bordetella pertussis bacterium.
 34. The process according to claim 17 wherein the one or more antigens of step b) are selected from antigens suitable for use in vaccination against diphtheria, tetanus, polio, hepatitis B, chicken pox, mumps, rubella, infections caused by Neisseria meningitidis or Streptococcus pneumoniae, or infections caused by rotavirus.
 35. The process according to claim 17, wherein the conjugate obtained in a) is combined with at least one or more antigens against diphtheria, tetanus, poliomyelitis, hepatitis B, infections caused by Neisseria meningitidis or by Streptococcus pneumoniae. 